Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.45 / $32.79 / $53.95	Facility		$27.45	$32.79	$53.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.93 / $41.13 / $93.50	Professional		$31.93	$41.13	$93.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.92 / $69.45 / $95.52	Professional		$28.92	$69.45	$95.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.44 / $51.45 / $143.44	Professional		$41.44	$51.45	$143.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $51.45 / $72.03 / $82.32	Facility		$51.45	$72.03	$82.32
CareSource Facility/Professional Professional Modifier Low / Median / High Price $51.45 / $69.45 / $119.29	Professional		$51.45	$69.45	$119.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.29 / $60.29 / $60.29	Facility		$60.29	$60.29	$60.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.99 / $20.99 / $70.45	Professional		$20.99	$20.99	$70.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $51.45 / $51.45 / $298.58	Professional		$51.45	$51.45	$298.58
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $65.59 / $95.18	Professional		$52.48	$65.59	$95.18
United Facility/Professional Professional Modifier Low / Median / High Price $17.11 / $25.66 / $70.16	Professional		$17.11	$25.66	$70.16